Therapists in New York, NY

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Photo of Alexandra Sechler in New York, NY
Alexandra Sechler
MA, LCAT-LP
Verified Verified
New York, NY 10016  (Online Only)
Making the choice to live a happier and more fulfilling life is not always as simple as it sounds. Sometimes the road to joy can feel downright difficult and it can be hard to trust the path that seems to have unfolded before us. I'm committed to creating a safe space, free of judgment, where you can begin to explore life's challenges with the support of an ally. My therapeutic approach is client-centered and trauma-informed and I have experience working with people of all ages.
Making the choice to live a happier and more fulfilling life is not always as simple as it sounds. Sometimes the road to joy can feel downright difficult and it can be hard to trust the path that seems to have unfolded before us. I'm committed to creating a safe space, free of judgment, where you can begin to explore life's challenges with the support of an ally. My therapeutic approach is client-centered and trauma-informed and I have experience working with people of all ages.
(646) 774-0641 x1 View (646) 774-0641 x1
Photo of Samuel Parton, Clinical Social Work/Therapist in New York, NY
Samuel Parton
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10007
Working in schools and foster care settings for years, Sam is an expert in child and adolescent therapy. He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy (DBT). With CBT, Sam helps clients change unhelpful thought processes and behavioral patterns and aids clients in bravely facing their fears. While with DBT, he helps clients learn better emotion regulation, distress tolerance, and interpersonal skills. He is passionate about building connections and assists clients in finding strengths and skills within themselves to work through any struggles they might be experiencing.
Working in schools and foster care settings for years, Sam is an expert in child and adolescent therapy. He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy (DBT). With CBT, Sam helps clients change unhelpful thought processes and behavioral patterns and aids clients in bravely facing their fears. While with DBT, he helps clients learn better emotion regulation, distress tolerance, and interpersonal skills. He is passionate about building connections and assists clients in finding strengths and skills within themselves to work through any struggles they might be experiencing.
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Photo of Roslyn Stevenson, Clinical Social Work/Therapist in New York, NY
Roslyn Stevenson
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10018  (Online Only)
Roslyn has over 25 years of post- graduate work experience and professional commitment to the overall wellness of her clients with a specific interest in the MH needs of people of color and members of disenfranchised communities in our society. She has clinical experience working with clients across a variety of treatment settings—family court; group homes; a college counseling center; substance abuse treatment program; inpatient and outpatient psychiatric facilities and jails.
Roslyn has over 25 years of post- graduate work experience and professional commitment to the overall wellness of her clients with a specific interest in the MH needs of people of color and members of disenfranchised communities in our society. She has clinical experience working with clients across a variety of treatment settings—family court; group homes; a college counseling center; substance abuse treatment program; inpatient and outpatient psychiatric facilities and jails.
(929) 203-9921 View (929) 203-9921
Photo of Rebecca Wartels, Clinical Social Work/Therapist in New York, NY
Rebecca Wartels
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10003
Rebecca offers a compassionate and action-oriented approach to therapy, striving to empower individuals with insights and practical tools for genuine transformation. She collaborates with clients to identify personal short and long-term goals and adapts her methods accordingly. Her extensive experience includes helping adults navigate challenges such as hopelessness, excessive worry, self-esteem issues, difficulty concentrating, perfectionism, irritability, emotional dysregulation, and interpersonal conflicts.
Rebecca offers a compassionate and action-oriented approach to therapy, striving to empower individuals with insights and practical tools for genuine transformation. She collaborates with clients to identify personal short and long-term goals and adapts her methods accordingly. Her extensive experience includes helping adults navigate challenges such as hopelessness, excessive worry, self-esteem issues, difficulty concentrating, perfectionism, irritability, emotional dysregulation, and interpersonal conflicts.
(332) 248-1551 View (332) 248-1551
Photo of Michelle Bottone, Marriage & Family Therapist in New York, NY
Michelle Bottone
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
New York, NY 10010
I am a licensed therapist with over a decade of experience in the mental health and wellness field. My collaborative therapeutic style is energetic, supportive, and nonjudgmental. I have a wide range of clinical experience working with individuals, families, and couples all throughout the lifespan. I strongly believe in tailoring treatment to fit individual needs while utilizing evidence-based approaches. I greatly value the opportunity to assist my clients in building resiliency to enhance their overall quality of life.
I am a licensed therapist with over a decade of experience in the mental health and wellness field. My collaborative therapeutic style is energetic, supportive, and nonjudgmental. I have a wide range of clinical experience working with individuals, families, and couples all throughout the lifespan. I strongly believe in tailoring treatment to fit individual needs while utilizing evidence-based approaches. I greatly value the opportunity to assist my clients in building resiliency to enhance their overall quality of life.
(646) 774-0656 View (646) 774-0656
Photo of Sam Douglas, Clinical Social Work/Therapist in New York, NY
Sam Douglas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10038
I believe that depression and anxiety emerge from patterns of emotion, thought, and behavior that we learned in order to survive. So therapy begins with a faith that you came by your struggles honestly, in an effort to protect yourself and make sense of your world. From there, the first step is to recognize how these patterns function now in your life and your mind, and to believe in the possibility that you can feel different--freer, safer, calmer, more lovable.
I believe that depression and anxiety emerge from patterns of emotion, thought, and behavior that we learned in order to survive. So therapy begins with a faith that you came by your struggles honestly, in an effort to protect yourself and make sense of your world. From there, the first step is to recognize how these patterns function now in your life and your mind, and to believe in the possibility that you can feel different--freer, safer, calmer, more lovable.
(347) 218-9140 View (347) 218-9140
Photo of Melissa Chiasson, Psychologist in New York, NY
Melissa Chiasson
Psychologist, PhD
Verified Verified
New York, NY 10024  (Online Only)
The most important part of working towards your mental health wellness goals is to have a positive therapeutic relationship with your psychologist, which includes being respected, validated, and understood. I work in a collaborative manner with clients to create a safe space as you embark on your journey towards improved mental health. I very much enjoy working with clients who are open to increasing insight and making positive changes to promote personal growth.
The most important part of working towards your mental health wellness goals is to have a positive therapeutic relationship with your psychologist, which includes being respected, validated, and understood. I work in a collaborative manner with clients to create a safe space as you embark on your journey towards improved mental health. I very much enjoy working with clients who are open to increasing insight and making positive changes to promote personal growth.
(914) 888-2066 View (914) 888-2066
Photo of Thomas Neuschul, Clinical Social Work/Therapist in New York, NY
Thomas Neuschul
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
New York, NY 10012  (Online Only)
Gay men and lesbian women face many challenges that are specific to them. It is important to find a therapist that understands your unique experience as a queer person in a culture that promotes heterosexuality as the norm. Whether it's past traumas or internalizing the stigma that we have been exposed to, we all have life events that impact the way we see the world today. For queer people, our worldview may be impacted by our time in the closet, messages we receive from media, and the different communities we belong to.
Gay men and lesbian women face many challenges that are specific to them. It is important to find a therapist that understands your unique experience as a queer person in a culture that promotes heterosexuality as the norm. Whether it's past traumas or internalizing the stigma that we have been exposed to, we all have life events that impact the way we see the world today. For queer people, our worldview may be impacted by our time in the closet, messages we receive from media, and the different communities we belong to.
(929) 273-1679 View (929) 273-1679
Photo of Colin Cranna, Counselor in New York, NY
Colin Cranna
Counselor, LMHC
Verified Verified
New York, NY 10128
I'm a licensed mental health counselor from NY. I work with adults and adolescents, providing care for clients who struggle with anxiety, depression, interpersonal challenges, difficulty managing life transitions and men's issues. Many gentlemen I've had the pleasure of working with have been able to get in touch with their emotions, learn to communicate their wants/needs and overcome the stigma that has prevented so many men from seeking the mental health care they deserve. My goals for clients include reducing suffering, alleviating symptoms, improve well-being, promote personal growth, resilience and to facilitate empowerment!
I'm a licensed mental health counselor from NY. I work with adults and adolescents, providing care for clients who struggle with anxiety, depression, interpersonal challenges, difficulty managing life transitions and men's issues. Many gentlemen I've had the pleasure of working with have been able to get in touch with their emotions, learn to communicate their wants/needs and overcome the stigma that has prevented so many men from seeking the mental health care they deserve. My goals for clients include reducing suffering, alleviating symptoms, improve well-being, promote personal growth, resilience and to facilitate empowerment!
(516) 928-4810 View (516) 928-4810
Photo of Hili Tsarfati, Clinical Social Work/Therapist in New York, NY
Hili Tsarfati
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
New York, NY 10016
Accepting new clients in-person/online. I believe that therapy is not a "one size fits all” process. Every person is a complex individual, and every relationship is unique. I offer therapy with a non-judgmental, anti-racist, strength-based, affirming approach, and adapt treatment to my clients’ values and make up, including gender, ethnicity, and sexuality. As an active partner I will always be on your side, but I will also challenge you when necessary. My experience is extensive, diverse, and contemporary, and my past in Creative and Producing for Film and Advertising brings a unique perspective to my practice.
Accepting new clients in-person/online. I believe that therapy is not a "one size fits all” process. Every person is a complex individual, and every relationship is unique. I offer therapy with a non-judgmental, anti-racist, strength-based, affirming approach, and adapt treatment to my clients’ values and make up, including gender, ethnicity, and sexuality. As an active partner I will always be on your side, but I will also challenge you when necessary. My experience is extensive, diverse, and contemporary, and my past in Creative and Producing for Film and Advertising brings a unique perspective to my practice.
(929) 205-5023 View (929) 205-5023
Photo of Alyssa Gallo in New York, NY
Alyssa Gallo
MHC-LP
Verified Verified
1 Endorsed
New York, NY 10028  (Online Only)
Are you experiencing anxiety or thoughts that are challenging to control? Do you ever feel overwhelmed or burnt out? Do you feel like you’re stuck in a pattern of thoughts and behaviors that are hard to manage? You are not alone, we all experience challenges in our lives which can affect our functioning and happiness. My goal is to help you navigate through these unexpected obstacles that may arise and recognize that healing is not always an easy process.
Are you experiencing anxiety or thoughts that are challenging to control? Do you ever feel overwhelmed or burnt out? Do you feel like you’re stuck in a pattern of thoughts and behaviors that are hard to manage? You are not alone, we all experience challenges in our lives which can affect our functioning and happiness. My goal is to help you navigate through these unexpected obstacles that may arise and recognize that healing is not always an easy process.
(914) 352-5200 View (914) 352-5200
Carol Stevens
Clinical Social Work/Therapist, CSW, BCD
Verified Verified
New York, NY 10023
I am a gestalt therapist with 39+ years of experience working with most cultures, religions, issues, and diagnoses. My clientele varies from blue-collar to artists to professionals. I also do corporate work, teach, train, supervise, lead workshops, and retreats, and am a therapist's therapist. I especially like working with traumas, old and new, addictions, creativity,somatic symptoms, and dreams. Strengths: I am creative, insightful, intuitive, empathic, motivated, and accepting; with excellent humor and timing. I have knowledge of psychotropic medications, homeopathy, spiritual practices. I continue to learn, grow, work on myself.
I am a gestalt therapist with 39+ years of experience working with most cultures, religions, issues, and diagnoses. My clientele varies from blue-collar to artists to professionals. I also do corporate work, teach, train, supervise, lead workshops, and retreats, and am a therapist's therapist. I especially like working with traumas, old and new, addictions, creativity,somatic symptoms, and dreams. Strengths: I am creative, insightful, intuitive, empathic, motivated, and accepting; with excellent humor and timing. I have knowledge of psychotropic medications, homeopathy, spiritual practices. I continue to learn, grow, work on myself.
(646) 351-1686 View (646) 351-1686
Photo of Karen A Dwyer-Tesoriero, Clinical Social Work/Therapist in New York, NY
Karen A Dwyer-Tesoriero
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
New York, NY 10004  (Online Only)
As a seasoned professional with over 24 years experience, I have helped many clients with feelings of anxiety, irritability, depression, anger as a result of trauma and complex trauma. I work with people to identify how they would like to improve their lives and help clients through the change process. Making a change can be overwhelming. Using strengths that you already have, we will accomplish your goals and make changes you desire. I am currently offering EMDR Intensives, which are half or full or multiple day EMDR sessions created just for you with you. I also am being trained In Somatic Experience which I use with clients.
As a seasoned professional with over 24 years experience, I have helped many clients with feelings of anxiety, irritability, depression, anger as a result of trauma and complex trauma. I work with people to identify how they would like to improve their lives and help clients through the change process. Making a change can be overwhelming. Using strengths that you already have, we will accomplish your goals and make changes you desire. I am currently offering EMDR Intensives, which are half or full or multiple day EMDR sessions created just for you with you. I also am being trained In Somatic Experience which I use with clients.
(917) 512-5208 View (917) 512-5208
Photo of Jennifer Carlson, LCSW-R, Clinical Social Work/Therapist in New York, NY
Jennifer Carlson, LCSW-R
Clinical Social Work/Therapist, LCSW-R, MSEd, SEP
Verified Verified
7 Endorsed
New York, NY 10003  (Online Only)
Welcome. I seek to provide individuals and couples with an engaging and collaborative process. Aspiring to be curious and supportive as you identify & explore uncomfortable feelings, discordant self-beliefs, or painful relational dynamics that are keeping you from having more meaningful, enlivened, and loving connections to yourself and others. Navigating together, we will address areas, that may include love, family dynamics, internal conflict, issues of health, work, friendship, school, trauma, addiction, & loss. With couples' areas of exploration sex/intimacy, premarital counselling, financial issues, betrayal & fertility.
Welcome. I seek to provide individuals and couples with an engaging and collaborative process. Aspiring to be curious and supportive as you identify & explore uncomfortable feelings, discordant self-beliefs, or painful relational dynamics that are keeping you from having more meaningful, enlivened, and loving connections to yourself and others. Navigating together, we will address areas, that may include love, family dynamics, internal conflict, issues of health, work, friendship, school, trauma, addiction, & loss. With couples' areas of exploration sex/intimacy, premarital counselling, financial issues, betrayal & fertility.
(646) 846-9263 View (646) 846-9263
Photo of Sophia Pazos, Clinical Social Work/Therapist in New York, NY
Sophia Pazos
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10120
When confronted with a challenge it’s not enough to look inwards in the here and now but also examine how our past and societal systems affect the way we function in the world. Whether it’s walking through trauma, relationships, anxiety, depression, or discerning where you are in the wide spectrum of gender and sexuality, it takes a holistic and integrative approach to move forward into the path to wellness
When confronted with a challenge it’s not enough to look inwards in the here and now but also examine how our past and societal systems affect the way we function in the world. Whether it’s walking through trauma, relationships, anxiety, depression, or discerning where you are in the wide spectrum of gender and sexuality, it takes a holistic and integrative approach to move forward into the path to wellness
(844) 942-2945 View (844) 942-2945
Photo of Jessica Matthews, Clinical Social Work/Therapist in New York, NY
Jessica Matthews
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
New York, NY 10016  (Online Only)
Not accepting new clients
I graduated from the University of New Hampshire, earning my Master of Social Work degree, and have been a psychotherapist for the past 7 years. I am currently working towards a PhD in Developmental Psychology. My choice to specialize in grief came at a young age after a personal experience. I lost a classmate in high school that had a profound impact on me, enough to help me decide that that mental health was the career path I wanted to take. This and my passion to help people eventually brought me to where I am today.
I graduated from the University of New Hampshire, earning my Master of Social Work degree, and have been a psychotherapist for the past 7 years. I am currently working towards a PhD in Developmental Psychology. My choice to specialize in grief came at a young age after a personal experience. I lost a classmate in high school that had a profound impact on me, enough to help me decide that that mental health was the career path I wanted to take. This and my passion to help people eventually brought me to where I am today.
(646) 604-2498 View (646) 604-2498
Photo of Madeline Cepeda, Counselor in New York, NY
Madeline Cepeda
Counselor, LMHC, MA
Verified Verified
New York, NY 10038
It takes courage to seek help. When you are going through challenging times or feeling distress, it becomes especially difficult to move forward or deal with whatever is bothering you. It’s okay to not be okay, to feel lost, or not in control. We can navigate these challenges, empower you, strengthen your coping skills, and give you the confidence and assurance to tackle future uncertainties and stresses.
It takes courage to seek help. When you are going through challenging times or feeling distress, it becomes especially difficult to move forward or deal with whatever is bothering you. It’s okay to not be okay, to feel lost, or not in control. We can navigate these challenges, empower you, strengthen your coping skills, and give you the confidence and assurance to tackle future uncertainties and stresses.
(929) 295-7603 View (929) 295-7603
Photo of Catherine C Montifiore, Clinical Social Work/Therapist in New York, NY
Catherine C Montifiore
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
New York, NY 10013
My approach to treatment begins with learning about you as an individual and gaining an understanding of your objectives and timeline for achieving these goals. My approach is individualized, pulling from your strengths to develop a strategy which empowers you to reach these goals. Not only do I work with those who may abuse substances or alcohol and who often struggle with mental health issues, but I work with close family members and significant others who have been impacted by this use, helping them better understand what they can and cannot do to help their loved ones and themselves.
My approach to treatment begins with learning about you as an individual and gaining an understanding of your objectives and timeline for achieving these goals. My approach is individualized, pulling from your strengths to develop a strategy which empowers you to reach these goals. Not only do I work with those who may abuse substances or alcohol and who often struggle with mental health issues, but I work with close family members and significant others who have been impacted by this use, helping them better understand what they can and cannot do to help their loved ones and themselves.
(917) 809-6291 View (917) 809-6291
Photo of Ashley Livitz, Clinical Social Work/Therapist in New York, NY
Ashley Livitz
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
New York, NY 10016  (Online Only)
I am committed to providing personalized care that meets the individual needs of each client. I work with adults who are experiencing anxiety, depression, life transitions, relationship issues, and other day-to-day challenges. It is my goal to help clients identify their strengths and develop practical coping skills to navigate life’s daily stressors and overcome the greater obstacles. My practice is focused on creating a safe, collaborative, and empowering environment that encourages clients to show up as their authentic selves.
I am committed to providing personalized care that meets the individual needs of each client. I work with adults who are experiencing anxiety, depression, life transitions, relationship issues, and other day-to-day challenges. It is my goal to help clients identify their strengths and develop practical coping skills to navigate life’s daily stressors and overcome the greater obstacles. My practice is focused on creating a safe, collaborative, and empowering environment that encourages clients to show up as their authentic selves.
(929) 556-6932 View (929) 556-6932
Photo of Menemsha Thompson, Clinical Social Work/Therapist in New York, NY
Menemsha Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
New York, NY 10001  (Online Only)
I work with people who are struggling to form safe and loving relationships. I support them in building secure bonds by focusing on communication and self-esteem and by helping them explore past formative relationships. I have worked with diverse populations, such as survivors of intimate partner violence and youth impacted by parental incarceration. I now work closely with LGBTQIA+ young adults and feel particularly well suited to help people in this community navigate relationship issues, the stress of coming out, and more.
I work with people who are struggling to form safe and loving relationships. I support them in building secure bonds by focusing on communication and self-esteem and by helping them explore past formative relationships. I have worked with diverse populations, such as survivors of intimate partner violence and youth impacted by parental incarceration. I now work closely with LGBTQIA+ young adults and feel particularly well suited to help people in this community navigate relationship issues, the stress of coming out, and more.
(315) 889-1703 View (315) 889-1703

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.